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Seafarer's Application Form
Third Officer
Kharchenko Valerii Nikolaevich23 november 2022
Location
Taganrog
Date of birth
**.**.****
Minimum salary
3 400 USD
Level of English
*****
River diploma
*****
Contact information
Phone number
*****
E-mail
*****
Next of Kin's name
*****
Next of Kin's phone number
*****
General documents
| Type of document | Number | Issued | Country | Issue date | Expiry date |
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Certificates
| Name of document | Number of document | Country | Issue date | Expiry date |
|---|
Work experience
| Position | Name of vessel | Type of vessel | IMO | Flag of vessel | Type of engine | Power of engine | DWT | GRT | Company | Date |
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